Name of Owner/Applicant ______________________________

Address ____________________________________________

Town __________________ State _______ Zip ____________

Telephone ______________________          

Residence ______________________

New sign permit fee: $25.00
Banner: $15.00
Free standing plates: $10.00

Sign dimensions ______ x ______ x ______ sides.

Square feet per face _______ sq. ft.

SIGN AREA FOR THIS BUILDING & LOCATION*** ______ sq. ft..
***Determined by Town Sign Committee only.

Street and sidewalk clearance: _______

Height from sidewalk: _______

Illumination?? (Y/N): _______

Construction materials (wood, new/alum, etc.) ____________

__________________________________________________

NOTE: It is required to provide a pencil drawing (rough) for Sign Committee consideration indicating sign dimensions, colors and number of faces.

I, the undersigned certify that the information disclosed in this application, including attached materials, is true and accurate, and the improvements or signs described herein are consistent with the land use requirements and construction requirements of the Zoning/Sign Ordinance of the Town of Dillsboro as requested.

I further understand any changes in size, number, lighting or colors of approved signs require a new application and approval.

DO NOT BEGIN SIGN CONSTRUCTION UNTIL PERMIT IS APPROVED.

Owner/Applicant _________________________ Date _________

Application Approved/Denied _______________ Date _________

Conditions for Sign Committee Approval

_____________________________________________________

06/04